New CMMI Director says Agency taking hard look at existing payment models

“The new federal health innovation chief said Wednesday the agency is taking a hard look at its existing payment models to find ways to bring them up to snuff. ”

“Brad Smith, a former Anthem executive and entrepreneur, was named director for the Center for Medicare and Medicaid Innovation (CMMI)—part of the Centers for Medicare & Medicaid Services (CMS)—in January.”

“Smith said in a fireside chat at the Virtual Summit on Health System Recovery from the COVID-19 Pandemic that the first order of business after taking the role was to dig into the return on investment of CMMI’s dozens of existing models.”

“Smith said he found that just five models were producing statistically significant savings to the federal government, and none were leading to sustained quality improvements over multiple years…”

“Smith added that the agency is considering further models as well that could launch by the end of the year. Models launched recently by CMMI include new programs targeting the cost of ambulance services, primary care and kidney care.”

“Smith said that CMMI is also rethinking its operational model. In the decade since it was formed under the Affordable Care Act, the teams behind various payment models have worked in silos, conducting separate analyses on performance…” Read the full article here.

Source: CMMI’s Smith: Agency taking hard look at existing payment models – By Paige Minemyer, June 24, 2020. FierceHealthcare.

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